@jeremygoodmanmd: Most men don’t need more testosterone. They need a real evaluation. Before starting TRT, a proper workup should include: • AM Total + Free Testosterone • LH + FSH (primary vs secondary?) • SHBG • Prolactin • Estradiol (sensitive assay) • CBC + CMP • PSA (age appropriate) • Sleep apnea screening • Fertility discussion If your clinic skipped physiology and went straight to syringes… That’s not optimization. That’s a subscription model. Yes — some men absolutely need TRT. But diagnosis comes first. #urology #menshealth #trt

Jeremy Goodman MD

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Friday 06 March 2026 01:48:19 GMT